| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $127.18 | $127.18 | $321.39 | |
Aetna
| Professional | $127.18 | $169.87 | $186.86 | |
Cigna
| Facility | $176.75 | $176.75 | $180.09 | |
Cigna
| Professional | $129.03 | $129.03 | $180.09 | |
United
| Professional | $116.91 | $154.18 | $232.24 |